ROBERT JACOB DDS (Credential# 143075) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 1997. The license expiration date date is February 28, 1998. The license status is INACTIVE.
ROBERT JACOB DDS is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0007018. The credential type is controlled substance registration for practitioner. The effective date is March 1, 1997. The expiration date is February 28, 1998. The business address is 42 Andrews St, Southington, CT 06489. The current status is inactive.
| Licensee Name | ROBERT JACOB DDS |
| Credential ID | 143075 |
| Credential Number | CSP.0007018 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
42 Andrews St Southington CT 06489 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE |
| Effective Date | 1997-03-01 |
| Expiration Date | 1998-02-28 |
| Refresh Date | 2009-01-26 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 699703 | 2.003137 | Dentist | 1956-08-01 | 1996-11-14 - 1997-12-31 | INACTIVE |
| Street Address | 42 ANDREWS ST |
| City | SOUTHINGTON |
| State | CT |
| Zip Code | 06489 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Sarah M Moon | 321 Pilgrim Lane, Southington, CT 06489 | Esthetician | ~ |
| Joanna Milewski | 23 Stacy Cate Drive, Southington, CT 06489 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Richard M Testa | 81 Winter Park Road, Southington, CT 06489 | Massage Therapist | 2020-08-01 ~ 2022-07-31 |
| Valley Roofing LLC | 88 Ladyslipper Lane, Southington, CT 06489 | Home Improvement Contractor | ~ |
| Dunkin Donuts · New England Donuts LLC | 856 Queen St, Southington, CT 06489 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Elizabeth E Pizzuto | 45 Water Street, Southington, CT 06489 | Real Estate Salesperson | 2020-06-18 ~ 2021-05-31 |
| Nicholas C Ingel | 515 West Street, Southington, CT 06489 | Heating, Piping & Cooling Limited Journeyperson | 2020-06-23 ~ 2021-08-31 |
| Tyrone J Correa | 84 Minthal Drive, Southington, CT 06489 | Real Estate Salesperson | 2020-06-19 ~ 2021-05-31 |
| Marilyn F Coppola | 114 Spring Hill Rd, Southington, CT 06489 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Christine M Liebler | 30 Sultana Terrace, Southington, CT 06489 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 06489 | |||
| City | SOUTHINGTON |
| Zip Code | 06489 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + SOUTHINGTON |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Stanley Jacob | 201 Kyles Way, Shelton, CT 06484-6621 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Salil G Jacob Md | 12 Corbin Rd, Hamden, CT 06517 | Controlled Substance Registration for Practitioner | 2002-03-01 ~ 2003-02-28 |
| Tessie K Jacob | 469 Migeon Ave, Torrington, CT 06790-4643 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Jacob I Hentel Md | 122 Ridgeview Rd, Poughkeepsie, NY 12603-4264 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Jacob J Rauchwerger Md | 334 Marlborough Rd, Cedarhurst, NY 11516-1113 | Controlled Substance Registration for Practitioner | 2009-03-02 ~ 2011-02-28 |
| Jacob C Wood | 10 Farmhill Dr, Plainville, CT 06062 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Jacob P Hauptman Pa-c | 244 Edwards St Apt 5, New Haven, CT 06511-3732 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
| Jacob V Deno | 207 George St Apt 435, Middletown, CT 06457-6700 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Jacob Miller | 24 Hospital Ave, Danbury, CT 06810-6099 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Seby Jacob | 140 Prospect Ave Apt 8e, Hackensack, NJ 07601-2248 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
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| Data Provider | Connecticut Department of Consumer Protection |
| Jurisdiction | Connecticut |
| Related Datasets | Connecticut Business Registrations, Connecticut Child Care Facilities |
This dataset includes 1.41 million licenses issued wtih Connecticut Department of Consumer Protection (TDLR).